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Electronic Visit Verification for Medical Assistance Home Health Care Services

Requires electronic visit verification for every Medical Assistance home health care visit in a patient’s home, using the Department of Human Services EVV system or an approved alternate system that sends the six federally required data items to the DHS Aggregator, and sets out how staff record visits, how exceptions are corrected, and how the Agency trains staff and protects visit data.

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About this policy
Policy number
PA-HH-BUS-03
Version
1.0
Main rule
42 U.S.C. §1396b(l)
Library
Pennsylvania home health · 56 policies
Category
Business
Sections
17

In short

  • Every Medical Assistance home health visit must be checked in and out in the electronic visit verification (EVV) system.
  • Check in when you arrive at the patient’s home and check out when you leave, every time.
  • Never check in for someone else or from somewhere other than the patient’s home.
  • If the system fails or you forget, call the office the same day and complete an exception form.

What's inside

17 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 U.S.C. §1396b(l))
  • 5. Which Visits Need EVV
  • 6. The Agency’s EVV System
  • 7. Recording Each Visit
  • 8. Visit Maintenance
  • 9. Privacy and Devices
  • 10. Responsibilities
  • 11. Records and Compliance Monitoring
  • 12. Staff Training
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • Which EVV system do you use for Medical Assistance home health visits?
  • Show me how this nurse’s visit was clocked in and out.

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